Lighthouse Clinic
NPI 1912216219 · Psychologist · Milwaukee, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lighthouse Clinic is a Psychologist organization in Milwaukee, WI (NPI 1912216219).
Provider details
- NPI number
- 1912216219
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Paula Tudorof, Administrator(323) 447-9507
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lhc Aquisitions, LLC
Registry dates
- Enumerated
- 2010-10-04
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Lighthouse Clinic's NPI number?
- Lighthouse Clinic's National Provider Identifier (NPI) is 1912216219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lighthouse Clinic?
- Lighthouse Clinic is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Lighthouse Clinic located?
- Lighthouse Clinic's practice location on file with NPPES is 2524 E Webster Pl Ste 203, Milwaukee, WI 53211-4257.
- What is Lighthouse Clinic's phone number?
- The practice phone number listed in the NPPES registry for Lighthouse Clinic is (414) 964-9200.
- Does Lighthouse Clinic accept Medicare?
- Lighthouse Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lighthouse Clinic?
- The authorized official listed on Lighthouse Clinic's NPPES record is Paula Tudorof, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lighthouse Clinic's NPI active?
- Yes — Lighthouse Clinic's NPI (1912216219) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.